Kaitlyn J Stroh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.030146 Issued in IL

Practice address

2861 Madison Ave
Granite City, IL 62040-3614

Phone

(618) 709-7723

NPI assigned

Aug 20, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alton Urgent Care Walk in Clinic Company

  • Family Medicine Physician
  • Alton, IL
  • NPI 1013521343
  Medicare reassignment NPD
• Belleville Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Belleville, IL
  • NPI 1225694946
  Medicare reassignment NPD
• Granite City Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Granite City, IL
  • NPI 1659861953
  Medicare reassignment NPD
• Waterloo Urgent Care Walk in Clinic Company

  • Family Medicine Physician
  • Waterloo, IL
  • NPI 1508471418
  Medicare reassignment NPD
• Wood River Urgent Care and Walk in Clinic Inc

  • Family Medicine Physician
  • Wood River, IL
  • NPI 1427717438
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1225461668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403614",
            "telephone_number": "618-709-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403614",
            "telephone_number": "618-709-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 IL-3",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IL",
            "postal_code": "62298",
            "country_code": "US",
            "telephone_number": "618-350-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 W Main St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622266646",
            "country_code": "US",
            "telephone_number": "618-416-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1417 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620023968",
            "country_code": "US",
            "telephone_number": "618-260-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROH",
        "first_name": "KAITLYN",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2018022299",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041520632",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024019631",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stearns Nursing and Rehabilitation Center, LLC
• Kathryn Steely
• Cari Stefani, FNP-BC, PMHNP-BC
• Amy Stowell
• Jean Ellen Strazar, APN
• Jason Louis Strotheide, DC
• Yun-Hsuan Su, M.A., CCC-SLP
• Natalie Lynn Sutton, RN
• Sheila Swist-Schleeper, PHARMD
• Julienne Carol Szlufik, APN

• Family Nurse Practitioner in Granite City, IL
• Providers in Granite City, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.